PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot United States of America flag

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

: ADI Temporary Code System - TTL Representation

Page standards status: Trial-use Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/adi-temp-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "adi-temp-cs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adi-temp-cs</b></p><a name=\"adi-temp-cs\"> </a><a name=\"hcadi-temp-cs\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">ldo<a name=\"adi-temp-cs-ldo\"> </a></td><td>Document completion information</td><td>Information in a document that pertains to actions or activities taken to finalize the document.</td></tr><tr><td style=\"white-space:nowrap\">pmo-medically-assisted-hydration-service-request<a name=\"adi-temp-cs-pmo-medically-assisted-hydration-service-request\"> </a></td><td>Medically assisted hydration order</td><td>Medically assisted hydration order</td></tr><tr><td style=\"white-space:nowrap\">situational-decision<a name=\"adi-temp-cs-situational-decision\"> </a></td><td>Decide if or when the situation arises</td><td>Decide if or when the situation arises</td></tr><tr><td style=\"white-space:nowrap\">medical-assisted-nutrition-while-beneficial<a name=\"adi-temp-cs-medical-assisted-nutrition-while-beneficial\"> </a></td><td>Medically assisted nutrition until not beneficial or a burden to the patient</td><td>Medically assisted nutrition until not beneficial or a burden to the patient</td></tr><tr><td style=\"white-space:nowrap\">hydration-surgical-placed-tubes<a name=\"adi-temp-cs-hydration-surgical-placed-tubes\"> </a></td><td>Hydration through surgically placed tubes</td><td>Hydration through surgically placed tubes</td></tr><tr><td style=\"white-space:nowrap\">no-hydration-desired<a name=\"adi-temp-cs-no-hydration-desired\"> </a></td><td>No artificial means of hydration desired</td><td>No artificial means of hydration desired</td></tr><tr><td style=\"white-space:nowrap\">hydration-for-pain-relief-or-comfort<a name=\"adi-temp-cs-hydration-for-pain-relief-or-comfort\"> </a></td><td>Medically assisted hydration only to relieve pain and discomfort</td><td>Medically assisted hydration only to relieve pain and discomfort</td></tr><tr><td style=\"white-space:nowrap\">artificial-hydration-no-surgical-placed-tubes<a name=\"adi-temp-cs-artificial-hydration-no-surgical-placed-tubes\"> </a></td><td>Trial period for artificial hydration but no without surgically-placed tubes</td><td>Trial period for artificial hydration but no without surgically-placed tubes</td></tr><tr><td style=\"white-space:nowrap\">acp-services<a name=\"adi-temp-cs-acp-services\"> </a></td><td>Advance care planning services</td><td>Advance care planning services</td></tr><tr><td style=\"white-space:nowrap\">adi-document-location<a name=\"adi-temp-cs-adi-document-location\"> </a></td><td>ADI document location endpoint</td><td>A FHIR endpoint URL that points to the ADI document or resource that exists.</td></tr><tr><td style=\"white-space:nowrap\">advance_directive_source_form<a name=\"adi-temp-cs-advance_directive_source_form\"> </a></td><td>ADI source form</td><td>The designation that the Advance Directive Composition</td></tr><tr><td style=\"white-space:nowrap\">serious-advanced-condition<a name=\"adi-temp-cs-serious-advanced-condition\"> </a></td><td>Serious advanced condition</td><td>The medical or serious advanced condition that makes the patient appropriate for a portable medical order (PMO).</td></tr><tr><td style=\"white-space:nowrap\">urn:hl7-org:pe:fhir-adi:pacp:2.0<a name=\"adi-temp-cs-urn.58hl7-org.58pe.58fhir-adi.58pacp.582.460\"> </a></td><td>PACP format code version 2.0</td><td>The code that indicates the format of the PACP document</td></tr><tr><td style=\"white-space:nowrap\">urn:hl7-org:pe:fhir-adi:pmo:2.0<a name=\"adi-temp-cs-urn.58hl7-org.58pe.58fhir-adi.58pmo.582.460\"> </a></td><td>PMO format code version 2.0</td><td>The code that indicates the format of the PMO document</td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:Extension.valueCode [ fhir:value "pe" ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:Extension.valueInteger [
       fhir:value "2"^^xsd:integer ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi" ;
           fhir:link <http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi>
         ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:Extension.valueCode [
       fhir:value "trial-use" ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi" ;
           fhir:link <http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi>
         ]
       ]
     ]
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs"] ;
  fhir:CodeSystem.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.68.16.4" ]
  ] ;
  fhir:CodeSystem.version [ fhir:value "2.0.0-ballot"] ;
  fhir:CodeSystem.name [ fhir:value "ADITempCS"] ;
  fhir:CodeSystem.title [ fhir:value "ADI Temporary Code System"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-10T21:18:39+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "HL7 International / Patient Empowerment"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International / Patient Empowerment" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/patientempowerment" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "patients@lists.HL7.org" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Codes to be used as placeholders until they have a formal assigned code from a recognized terminology steward"] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ] ;
       fhir:Coding.display [ fhir:value "United States of America" ]
     ]
  ] ;
  fhir:CodeSystem.copyright [ fhir:value "This CodeSystem is not copyrighted."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "14"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "ldo" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Document completion information" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Information in a document that pertains to actions or activities taken to finalize the document." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "pmo-medically-assisted-hydration-service-request" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medically assisted hydration order" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Medically assisted hydration order" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "situational-decision" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Decide if or when the situation arises" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Decide if or when the situation arises" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "medical-assisted-nutrition-while-beneficial" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medically assisted nutrition until not beneficial or a burden to the patient" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Medically assisted nutrition until not beneficial or a burden to the patient" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "hydration-surgical-placed-tubes" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hydration through surgically placed tubes" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Hydration through surgically placed tubes" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-hydration-desired" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "No artificial means of hydration desired" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "No artificial means of hydration desired" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "hydration-for-pain-relief-or-comfort" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medically assisted hydration only to relieve pain and discomfort" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Medically assisted hydration only to relieve pain and discomfort" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "artificial-hydration-no-surgical-placed-tubes" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Trial period for artificial hydration but no without surgically-placed tubes" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Trial period for artificial hydration but no without surgically-placed tubes" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "acp-services" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Advance care planning services" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Advance care planning services" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "adi-document-location" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ADI document location endpoint" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A FHIR endpoint URL that points to the ADI document or resource that exists." ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "advance_directive_source_form" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ADI source form" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The designation that the Advance Directive Composition" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "serious-advanced-condition" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Serious advanced condition" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The medical or serious advanced condition that makes the patient appropriate for a portable medical order (PMO)." ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "urn:hl7-org:pe:fhir-adi:pacp:2.0" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PACP format code version 2.0" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The code that indicates the format of the PACP document" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "urn:hl7-org:pe:fhir-adi:pmo:2.0" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PMO format code version 2.0" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The code that indicates the format of the PMO document" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/adi-temp-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/adi-temp-cs.ttl> .